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10850 Louetta Rd. Suite 800 Houston TX 77070 | |
| (623) 640-1153 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10850 Louetta Rd., Houston, Texas |
| Authorized Official Name and Position | Harry N Green (DENTIST) |
| Authorized Official Contact | 6236401153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12407 Brazos Bend Trl Humble TX 77346-3481 Ph: () - | 10850 Louetta Rd. Suite 800 Houston TX 77070 Ph: (623) 640-1153 |
| NPI Number | 1437369972 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437369972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22057 (Texas) | Primary |
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